Advanced Intra-spinal Decompression Implant

ABSTRACT

A new Intra-spinal decompression implant is introduced that comprises of two plate attachments to a titanium metal implant that fits between the spinous processes of the vertebrae in the lower back, decompressing the neuro elements. The invention has a number of new design features including: double axis adjustable side plates, stepped conical tipped body and piercing tips on side plates, among many mentioned in this disclosure, that improves the quality of the surgery and the result for the patient. More examples are given in this application.

BACKGROUND OF THE INVENTION

An Intra-spinal decompression implant comprises of two plate attachments to a titanium metal implant that fits between the spinous processes of the vertebrae in the lower back, decompressing the neuro elements. These devices are implanted without fixation to the bone or ligament to preserve physiological spinal motion. These devices are particularly useful for patients who suffer from degenerative disc disease, spinal stenosis, or lateral recess syndrome. Such device has many advantages, including easy installation and therefore capable of decompressing the spinal canal and nerve roots quickly and efficiently.

The Intra-spinal decompression implants available to date in the market require different size of side plates and/or different size of implant body for different spinal levels or different patients. They are also prone to moving from the intended location. The following Website provides a good description of one the available Intra-spinal decompression implants in the market: http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ijmist/vol1n1/xstop.xml

This invention provides an improved design for Intra-spinal decompression implants that unlike other decompression implants on the market can be used on multiple spinal levels and different type of patients. The invented device will reduce surgery time by almost half an hour per spinal level and allows for the procedure to be done on local standby and on an out-patient basis.

SUMMARY OF THE INVENTION

One embodiment of the present invention is an Intra-spinal decompression implant that comprises of two plate attachments to a titanium metal implant that fits between the spinous processes of the vertebrae in the lower back, decompressing the neuro elements. The invention (as an example) has a number of new design features, including:

-   -   Lateral and vertical side plate adjustments     -   An implant body capable of dual axis adjustment with a large         cavity for packing of bone graft material, for tissue to fuse         around and inside the device, for better installation (the         cavity can be multiple cavities, in middle, and small ones on         the sides, as one example)     -   The implant body design incorporates a stepped and pointed         conical tipped end, for better installation     -   Conical piercing tipped studs for attachment to the vertebrae     -   The implant design incorporates precision-machined slots and         keys in the implant body and side plates

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is the top view of the implant body that incorporates a stepped and pointed conical tipped end.

FIG. 2 illustrates one of the side plate attachments to the implant body, with rear and front parts, in which the length of the front part is adjustable.

FIG. 3 is a cross section view of the implant body, which shows how the side plate is attached to the implant body as well as the bottom cavity of the implant body.

FIG. 4 shows the stepped and conical ripped end and its cross section.

FIG. 5 shows the dual axis (X and Y) adjustment mechanisms of the implant.

FIG. 6 shows the locking and retaining fasteners for the side plate attachment.

FIG. 7 shows the large bottom cavity of the implant body. This example shows a hexagonal shaped cavity.

FIG. 8 shows the conical-shaped piercing tipped studs on the front and rear side plates

FIG. 9 shows the slot and key mechanism used for dual axis adjustment of the implement.

FIG. 10 shows a symmetric and an asymmetric stepped tipped end of the implant body.

FIG. 11 shows an asymmetric side plate, with different front and rear wings sizes.

FIG. 12 shows cross sections from different angles of one of the embodiments.

FIG. 13 shows components of an embodiment.

FIG. 14 shows components of an embodiment.

FIG. 15 shows components of an embodiment.

FIG. 16 shows views from different angles of an embodiment.

FIG. 17 shows views from different angles of an embodiment.

FIG. 18 shows cross sections from different angles of one of the embodiments, and also components of an embodiment.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

The Intra-spinal decompression implant of the preferred embodiment is shown in FIGS. 1, 2 and 3. It is designed for plate attachment to the titanium metal implant and fits between the spinous processes of the vertebrae in the lower back, decompressing the neuro elements. It is designed to remain safely and permanently in place as the spinal processes gradually fuses together while the spine naturally repairs itself. The device is particularly useful for patients who suffer from degenerative disc disease, spinal stenosis, or lateral recess syndrome. The device has many advantages, including easy installation and therefore capable of decompressing the spinal canal and nerve roots quickly and inefficiently. Unlike other decompression implants on the market, the side plates of the device are adjustable in two dimensions (FIG. 5), which allow them to be universally used on multiple spinal levels or different patients. The device will reduce surgery time by almost half an hour per spinal level and allows for the procedure to be done on local standby and on an out-patient basis.

The design includes implant adjustments in width and length to accommodate the patient anatomy. Height adjustment is accomplished by replacement of the implant body to a different diameter (larger or smaller size). The side plates are universal and can be assembled with a variety of sizes. Lateral and vertical adjustment (length and width) is accomplished by means of slots and keys (FIG. 9) that are machined in the side plate and implant body.

Design Features

The design incorporates the following features for trouble-free implantation:

-   -   Lateral and vertical side plate adjustment incorporating ¼-½         turn locking and retaining fasteners (FIG. 6) that enables         multiple positioning that accommodate a variable size range of         patient anatomy. The side plates could be quickly adjusted         before or during the surgery, therefore, reducing the operation         time. FIG. 1 shows the slots (103) that are used for lateral         adjustment of the side plates. There are typically 3 adjustment         slots for each of the side plates as shown in FIG. 1 (103). FIG.         2 shows one of the side plates, which has vertical adjustment         via a slot (206) and typically two screws (203).     -   An implant body that is capable of dual axis adjustment with a         large cavity (FIG. 7) for multiple purposes, which include         engaging the insertion handle, packing of bone graft material,         and reducing the weight of the implant as shown in FIG. 3. The         cavity has preferably a octagon or hexagon shape (301). The         implant body may come in different diameter and lengths to         accommodate different patient compositions. It could also be         made of different materials that may include non-corrosive         metals such as Titanium, plastic natural or man-made material.     -   The implant body design incorporates a stepped and pointed         conical tipped end as shown in FIGS. 1 and 3 that promotes         easier insertion into the patient (between the spinoud processes         of the vertebrae in the lower back) and prevents excessive         movement of the implant after surgery. The tipped end (102, 304)         may be asymmetric for easier insertion.     -   Conical piercing tipped studs (FIG. 8) on side plates for         attachment to the vertebrae and therefore reducing the chance of         the implant moving from its preferred spot shown in FIG. 2 (204,         205). Preferably two tipped studs are placed in the front (204)         and two on the rear (205) of each side plate.     -   The implant design incorporates precision-machined slots and         keys (103, 302, and 303) in the implant body and side plates to         obtain a smooth running and sliding fit that prevent binding and         allow for quick and easy adjustments in both lateral and         vertical directions to accommodate a variety of patient         compositions. The precision-machined slots allow for speedy and         symmetrical installation of side plates, and therefore, reducing         the operation time.

In one embodiment, the shape of the implant in 2 directions have 2 different cross-sections, one much larger, being asymmetric, making it ideal for locking and proper installation, for example, after rotation of the assembly by 90 degree, making sure that the device cannot be slide out (out of its intended position), for example, being locked at that direction, for proper and long-lasting installation in the body.

In one embodiment, the plates can be adjusted for multiple levels for vertebral body.

In another embodiment, the size is adjustable for different size patients, making it cheaper to manufacture, and easier to install, because it does not have to be custom-made much before the surgery, for each individual separately, based on his/her size and body structure.

In one embodiment, the side plates are asymmetrical and the front and rear end of the side plates have different size (FIG. 11).

More details are shown in the following figures: FIG. 12 shows cross sections from different angles of one of the embodiments. FIG. 13 shows components of an embodiment. FIG. 14 shows components of an embodiment. FIG. 15 shows components of an embodiment. FIG. 16 shows views from different angles of an embodiment. FIG. 17 shows views from different angles of an embodiment. FIG. 18 shows cross sections from different angles of one of the embodiments, and also components of an embodiment. These FIGS. (12-18) correspond to the former FIGS. (1-11) with more details and visual teaching.

Note that easy installation means faster surgery, which means better survival rate after surgery.

The attachments with screws, holes, slots, and pins make the size adjustable for different patients and sizes.

Any material, such as plastic, titanium, alloy, metal, elastic, human tissue, animal tissue, cultured material, plant-based, oil-based, petrochemical, cotton, fabric, any byproducts, magnetic, non-magnetic, alloyed, plated, implanted, mix, powder, combination, mixture, and similar types, can be used.

The attachments can be done by screws, holes, slots, pins, ribbon, string, chain, cable, rings, human tissue, engineered tissue, glue, pressured material, Velcro-type, micro-sized devices, nano-fabricated material and devices, using only surface adhesion, using micro-property of materials, welded joints, hinges, locks, engagements devices, keys, and similar types.

Any variations of the above are also meant to be covered by the current patent application. 

1. An apparatus for decompressing spinal neuro elements, said apparatus comprising: an implant body; side plates; and one or more screws; wherein two of said side plates are attached in parallel to said implant body using said one or more screws; and wherein said implant body incorporates a stepped and pointed conical tipped end.
 2. An apparatus for decompressing spinal neuro elements, said apparatus comprising: an implant body; side plates; and one or more screws; wherein two of said side plates are attached in parallel to said implant body using said one or more screws; and wherein said implant body has dual axis adjustment mechanism.
 3. An apparatus for decompressing spinal neuro elements, said apparatus comprising: an implant body; side plates; and one or more screws; wherein two of said side plates are attached in parallel to said implant body using said one or more screws; wherein said side plates are adjustable in lateral and vertical axis that enables multiple positioning; and wherein said side plates' adjustment incorporates locking and retaining fasteners.
 4. An apparatus for decompressing spinal neuro elements, said apparatus comprising: an implant body; side plates; and one or more screws; wherein two of said side plates are attached in parallel to said implant body using said one or more screws; and wherein said implant body has a large cavity.
 5. An apparatus for decompressing spinal neuro elements, said apparatus comprising: an implant body; side plates; and one or more screws; wherein two of said side plates are attached in parallel to said implant body using said one or more screws; and wherein said side plates incorporate one or more conical piercing tipped studs for attachment to vertebrae.
 6. An apparatus for decompressing spinal neuro elements, said apparatus comprising: an implant body; side plates; and one or more screws; wherein two of said side plates are attached in parallel to said implant body using said one or more screws; and wherein said implant body and said side plates incorporate slots and keys for secure and quick installation.
 7. An apparatus as stated in claim 1, wherein said implant body incorporates an asymmetric tipped end.
 8. An apparatus as stated in claim 2, wherein said implant body incorporates an asymmetric tipped end.
 9. An apparatus as stated in claim 3, wherein said implant body incorporates an asymmetric tipped end.
 10. An apparatus as stated in claim 4, wherein said implant body incorporates an asymmetric tipped end.
 11. An apparatus as stated in claim 5, wherein said implant body incorporates an asymmetric tipped end.
 12. An apparatus as stated in claim 6, wherein said implant body incorporates an asymmetric tipped end.
 13. An apparatus as stated in claim 1, wherein said implant body is cylindrical shape with a flat side for installation of said side plates and a groove on said flat side for passage of ligament.
 14. An apparatus as stated in claim 2, wherein said implant body is cylindrical shape with a flat side for installation of said side plates and a groove on said flat side for passage of ligament.
 15. An apparatus as stated in claim 3, wherein said implant body is cylindrical shape with a flat side for installation of said side plates and a groove on said flat side for passage of ligament.
 16. An apparatus as stated in claim 4, wherein said implant body is cylindrical shape with a flat side for installation of said side plates and a groove on said flat side for passage of ligament.
 17. An apparatus as stated in claim 5, wherein said implant body is cylindrical shape with a flat side for installation of said side plates and a groove on said flat side for passage of ligament.
 18. An apparatus as stated in claim 6, wherein said implant body is cylindrical shape with a flat side for installation of said side plates and a groove on said flat side for passage of ligament.
 19. An apparatus as stated in claim 3, wherein said locking and retaining fasteners operate by ¼ or ½ turn.
 20. An apparatus as stated in claim 4, wherein said cavity has a hexagonal cross section.
 21. An apparatus as stated in claim 4, wherein said cavity has an octagonal cross section.
 22. An apparatus as stated in claim 1, wherein said implant body and said side plates are made from metal, alloy, plastic, elastic, natural, titanium or man-made material.
 23. An apparatus as stated in claim 2, wherein said implant body and said side plates are made from metal, alloy, plastic, elastic, natural, titanium or man-made material.
 24. An apparatus as stated in claim 3, wherein said implant body and said side plates are made from metal, alloy, plastic, elastic, natural, titanium or man-made material.
 25. An apparatus as stated in claim 4, wherein said implant body and said side plates are made from metal, alloy, plastic, elastic, natural, titanium or man-made material.
 26. An apparatus as stated in claim 5, wherein said implant body and said side plates are made from metal, alloy, plastic, elastic, natural, titanium or man-made material.
 27. An apparatus as stated in claim 6, wherein said implant body and said side plates are made from metal, alloy, plastic, elastic, natural, titanium or man-made material.
 28. An apparatus as stated in claim 1, wherein said apparatus has a stepwise locking mechanism.
 29. An apparatus as stated in claim 1, wherein said apparatus is adjusted for different size patients.
 30. An apparatus as stated in claim 1, wherein said apparatus is adjusted for multiple vertebrae or various sizes.
 31. An apparatus as stated in claim 1, wherein said apparatus has a rough surface or small extensions for better friction, adhesion, and incorporation to the body.
 32. An apparatus as stated in claim 1, wherein said apparatus has an asymmetric cross section from 2 different or orthogonal directions, for locking purposes or better adhesion.
 33. An apparatus as stated in claim 1, wherein a locking or rotational mechanism is incorporated, for easy and fast installation, using screw driver or any wrench.
 34. An apparatus as stated in claim 5, wherein each of said side plates incorporate two of said conical piercing tipped studs in the front and two of said conical piercing tipped studs in the rear.
 35. An apparatus as stated in claim 21, wherein said side plates are asymmetric.
 36. An apparatus as stated in claim 22, wherein said side plates are asymmetric
 37. An apparatus as stated in claim 23, wherein said side plates are asymmetric.
 38. An apparatus as stated in claim 24, wherein said side plates are asymmetric.
 39. An apparatus as stated in claim 25, wherein said side plates are asymmetric.
 40. An apparatus as stated in claim 26, wherein said side plates are asymmetric. 